RYAN ANTHONY JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011062

License Status

ACTIVE

Business

First Name

RYAN

Middle

ANTHONY

Last Name

JOHNSON

Business Name

RYAN ANTHONY JOHNSON

Original Issue Date

01/14/2025

Effective Date

01/02/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

01/02/2026